We’ve been having a fun-filled, colorful time in speech-language therapy! Out of all the Spring activities I’ve tried, students have been most enthusiastic about using the colored, plastic eggs I purchased for a few dollars at my local craft store.

I’ve paired the eggs with other technology-based activities, like the virtual game-boardI featured in my last post. I used this activity in my therapy room, and also in the classroom setting as a co-treatment with the social worker. We used previously-posted pragmatic questionsinserts for the eggs, and each team got to pick an egg and answer the question when it was their turn. Because the pragmatic questions were a BIG hit out in blog-land (as judged by Pinterest pins and downloads,) and because I found I needed some lower-level questions for those students needing more concrete stimuli, I also created an additional set of pragmatic inserts for you to download:

I also co-treated with the occupational therapist in an adaptive classroom setting. We filled the eggs with these “Following Direction” inserts and “hid” the eggs around the room. Students got to hunt for eggs, then we answered the questions or followed the directions that were in the eggs. We did many of the directions as a whole group, and each student got to come to the front to demonstrate to the class when it was their turn. For directions requiring drawing, we used the classroom smartboard, but you could also use a chalkboard, dry erase board or easel.

Another fun activity I’ve used in large and small groups working on simple descriptive vocabulary is to pair the eggs with colored pom poms and colored objects. Students can pick a color/colored object, and then hunt for an egg that is the same color. Sentence formulation, use of color words in descriptive phrases, matching and answering simple what and where questions are all targeted in this active game.

I used the following visual for language support with students who needed the visual input to assist with formulation of sentences using the concepts:

I also paired the colored eggs with pacing board activities as an extra motivation for students working on length of utterance, fluency strategies and/or sequencing of sounds for multi-syllabic words. Students “stamped” on the pacing board with the egg, or tapped the top of each egg as they spoke to mark the sounds or syllables. The same materials could be used as a token reinforcement system where students earn each color for the trials they produce. Students working on matching activities could also use these tools.

I’ve recently been describedas often posting activities with a “seasonal bent,” and I’d say that is definitely true. I just can’t resist all of the holiday fun! Some of my best childhood memories revolve around the holidays, even seemingly insignificant ones.I like to think I am creating memorable experiences for students, using motivating activities that target goals and keep kids moving and smiling while they work.

So many people have given me positive feedback about the Spring resources available for download in my Spring Egg-stravaganza post. One of the resources I posted was an open-ended game board — both a printable version and an ActivInspire flipchart version. For those of you who do not have ActivInspire, you can download it for free HERE. Check out this video for an overview of the kinds of things students can do with this program:

Obviously, if you have a smartboard, there are limitless possibilities for engaging students in multi-media therapy activities. I feel very fortunate to work in a school that had available funds and generous administrators. Earlier this year, my school purchased a desktop version of a smartboard for my therapy room. I have been using this technology to create a variety of lessons using pictures, audio, video and interactive design features that all my students love. Some of the files I create are complex, time-intensive and include pre/post assessment data collection where students respond using wireless ActiVotes. Some, however, like my Spring/Garden game board are really quite simple. To make this game I just imported the image of the game board (an image I actually used ActivInspire to create, but you could use any image — even a snapshot of a real game board,) then I added circle shapes to use as game pieces, and inserted the dice tool. Suddenly an ordinary game (with a dash of technology added) became a highly engaging therapy tool to target any objective needed. My students love the online game boards so much more than any “real” game. Here is a picture I previously posted of a couple of students interacting and playing a game using my desktop smartboard:

But what if you do not have a smartboard? Not to worry, you can still use these interactive files on your computer. You just need to use a mouse instead of the stylus (unless you have a touchscreen.) An adaptive mouse can help those with fine motor difficulties access this technology. You will just need to pair the game with stimulus materials or verbal prompts to elicit/train a skill, and your students will love playing the interactive, virtual game in their speech-language sessions.

If you want to download this file, just make sure you have ActivInspire installed on yourcomputer, then click on the image below.

By the way, I have no affiliation with Promethean or ActivInspire, and this post is not a solicited review. I really just love using this program, and I think you will too.

After what seems like barely even a winter (not one single snow day or even a school delay for my county!) spring has officially arrived. I realized yesterday that there is very little time left before spring break, and I quickly began gathering my materials for the spring kickoff season. Some of my favorite activities revolve around spring themes — Easter eggs, baby chicks and bunnies, the switch to warm-weather clothing and spending more time outside. I am very excited to share with you some of the resources I have developed and will be using with my students. Let me know how you like them!

First, Easter Eggs!! What better way to excite students and incorporate movement than with a good old-fashioned Easter egg hunt? Finding the eggs is a perfect way to target “where” questions, prepositional words and descriptive concepts like color and size vocabulary. I plan on filling my colorful, plastic eggs with articulation pictures and language concepts to use in sentences. I am also going to use the Easter eggs for a pragmatic language activity by inserting these pragmatic questions (click to download your own copy!)

In addition to the plastic eggs, I have these colorful Easter egg printables to design your own artic/language cards, or to use as tokens for motivation and reinforcement:

I also have a few fun crafts/recipes for students to create. I often use visual directions to accompany these crafts, opening the door for language-based questions involving ordinal and sequential terms, wh questions, language memory and curricular vocabulary. See below and click to download what you like.

How cute is this baby chick?? Students will love making their own little pet to take home. Click on the image below for your own copy of the direction page:

Many books for this time of year involve new little critters –chicks and bunnies as the main characters. These loveable creature crafts are perfect for recreating and retelling those spring stories. Below is a bunny craft for students to make. In the past, I’ve had students glue their bunnies onto jumbo craft sticks to make their own story puppets. Just print out the direction sheet below — use the template I prepared as well, or you create your own to use.

The topic of Spring leads to lessons about new plants as well — buds on trees blossoming into flowers, and people working in their yards to grow flowers and vegetables. My students have especially loved these next couple of activities…I hope yours do too!

The 20 oz bottles wotk best for this stamping craft. The bottoms of these bottles are shaped like a flower–really, it works perfectly!

How about a yummy treat to make and eat? Worms and Dirt is a crowd pleaser that students will remember for a very long time. You can use gummy worms, snakes, licorice or other creature-like confections to crawl in your “dirt.”

I also have an open-ended game board I will be using on my ActivPanel smartboard, paired with articulation or language stimuli to target individual student objectives. You can download the ActivInspire flipchart version to play on your own smartboard, or use the game board imageto creat your own smartboard file. Otherwise, just print the hard copy version below:

And of course I have Spring Bingo Boards (a set of 6 for you to download!) As always, I use Bingo Boards to target myriad articulation and language goals including language formulation, descriptive concepts, wh questions, location terms, categories, similarities and differences…and the list goes on! Click on the sample board below to get to the set.

Working on /s/ sounds? Here is a Boardmaker file I created to use as stimulus cards for games, Easter egg inserts and homework practice. Print double copies to use for a matching/memory game.

I hope you enjoy these ideas…I have many more, but there are only NINE days until our Spring Break, so time is limited! Yes, I have counted the days. 🙂 Hope you enjoy this wonderful season!

I was recently asked to offer some advice about correcting for those tricky sound errors — lateralized productions of the sibilants /s/, /z/, /sh/ and /ch/. If you are an SLP, you can probably detect a lateralized /s/ on every affected public speaker, casual acquaintance or celebrity you have ever had the pleasure to encounter. My husband makes fun of me for the way my ears perk up and how the expression on my face clearly changes whenever we are listening to someone with an /s/ distortion. I suddenly have the urge to offer these speakers nonverbal feedback as we interact. Sadly, I can’t help it; it’s an affliction. Even if you are not an SLP and have no desire to cure the world of lateralized airflow patterns, you may be able to detect that something is not quite right in the way a person says their /s/ and /z/ sounds— the words come out sounding “slushy,” “sloppy” or even “garbled.” I once had a teacher tell me that their student with a lateralized /s/ sounded like he was “pretending to be a ventriloquist.” This statement was actually not an off-target description.

Lateralized airflow sound distortions are unfortunately some of the hardest to correct. While I am an SLP, and therefore, an “expert,” I do not profess to have any secret knowledge or special talent in correcting these tricky sounds. I have struggled along with the rest of you in finding ways to train for correct sound production. I am happy, however, to share what has worked for me more often than not in the past fifteen years.

In my opinion, the issue of lateralized airflow distortions is two-fold, and requires training on both factors:

Students do not have a correct tongue position for these sounds (and often the tongue position at rest is incorrect as well.) These sounds must be produced with the tongue elevated to meet at the alveolar ridge or surrounding area.

Students do not have a correct frontal airflow stream (probably secondary to incorrect tongue position) . When the tongue is elevated at the alveolar ridge area, a slight groove is formed in which airflow is then directed in a stream out the front of the mouth. When the tongue remains low and flat, no slight groove in the center of the tongue is formed to direct the airflow out the front. The air escapes out the sides of the tongue and the distortion is produced.

Unfortunately, the tongue and airflow patterns are habitual and must be entirely retrained for correct sound production. Therapy on these sounds begins with ongoing student education for tongue position and airflow. I often begin with pure discussion and education using mouth diagrams, puppets, mirrors, and visuals. I then begin training with some oral motor tools or tricks like dots of icing on the alveolar ridge or other tactile feedback to elicit correct tongue placement. I have students practice in front of mirrors and watch me as well. My school recently purchased these mirrors for my therapy room so that each student has their own for practice (great for preventing “downtime” while I give individualized feedback to other students in the group):

Once the initial training and tactile feedback has been provided, I quickly move into practicing target sounds in isolation and then in syllables or words. I use a variety of methods including verbal, visual and tactile strategies to help students train for correct placement and airflow. I have visuals for each target sound that offer descriptions so students can more easily remember the placement and manner of the sounds. I usually start by targeting /s/ in isolation, though I do not believe that this sound is scientifically proven easier to produce than any of the others. I just personally find it easiest to elicit, especially when introduced as “the sneaky snake sound” and paired with different snake games/activities. Every therapy session I conduct is structured to include education, discrimination, direct training, and then practice (often using games or other motivating activities) to target sounds in isolation, syllables and words. These activities all include the following visuals (or similar.)

Below is a visual that introduces each sound and gives them all a “name” to represent sound attributes in some way. At the bottom of this visual is a three-step process chart that helps to elicit correct placement and airflow. I have had very good success using the cue “Teeth Together.” This cue is something much more concrete and outwardly visible than the more elusive “tongue elevation to the ‘bumpy spot’ behind the teeth.” For some reason, tongue placement seems to greatly improve and inhibit lateral airflow when the upper and lower central incisors meet in front (not in a smile, though, which tends to drop the tongue and foster lateral airflow. Think “show your teeth” in a Lady Gaga kind of way.) Students can see their teeth together; they can replicate it easily, and for whatever reason, it often works when it is done correctly. Students are also trained to hold their hand or finger in front of their lips and feel the airflow as they speak. Sometimes this trick is enough to elicit the frontal airflow pattern and progress is made quickly as the student has built-in cues and biofeedback wherever they go!

Another visual I like to use is this discrimination tool that can be used both with the student listening to modeled productions or when producing on their own. The clinician can provide the feedback using the visual, or the student can self-evaluate their own productions:

Students are encouraged to practice their sounds on their own using their hand as a self-cueing strategy for frontal airflow detection:

As we move into practice using syllables and words, I select the syllable or word targets to specifically shape and elicit correct tongue placement. I choose syllables and words using vowels that are produced higher in the mouth (usually /i/ and /u/) to move away from the low, flat tongue patterns used in /a/ or with a schwa. I also vary the position of the sound in the word or syllable:

Another way I elicit correct tongue position is to shape sounds across word boundaries using alveolar sounds that the student has already mastered. Here is a visual I use with students to shape the /s/ from /n/ across preceding and subsequent word boundaries:

As a student becomes more independent, the same pictures can be used to create sentences for practice at a higher level. My go-to games are often open-ended game boards, commercial games or interactive activities that can be paired with specific stimuli or picture cards using the currently targeted sound or sounds. I also use barrier games or student-led activities with a focus on peer feedback to encourage generalization to other settings. I often have peer partners that will develop their own nonverbal signal to prompt for correct placement or airflow.

Above all, a student needs to “buy in” to the training and practice their skills in other settings. This is why all of my speech therapy sessions incorporate the pieces of education, discrimination, targeted training and practice. If students are reluctant to practice or do not self-cue or self-monitor, then progress will likely be much slower. Systematic training in tongue placement, frontal airflow stream, how to self-cue and monitor, and how to practice are essential components of a treatment program for lateralized airflow sounds. The treatment program may seem endless some days as you train and educate, but eventually, most students “get it.” I consider my work with these students just as important as my work with nonverbal or language-delayed students and I applaud those of you who work tirelessly to improve communication skills on any level. Good luck with using these techniques, and I’d love to hear if there is something else that has worked for you. Please share — it’s exactly what I love about the internet!

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Do you love Pinterest? I have to admit that Pinterest sparked my desire to start blogging…seeing so many great ideas in one spot, many of the ideas linking to the blogs of truly talented and creative people. I quickly jumped in and have found that Pinterest is a great way to generate blog traffic and share resources. In only a month, my humble little speech-language blog went from being non-existent to featured on high-traffic Pinterest boards like Pediastaff and on the ASHASphere website as one of the “Best Speech-Language Pathologist Blogs.” I’ve also been mentioned on other blogs like Speech Lady Liz, Jill Kuzma’s SLP Site, Sublime Speech, Playing with Words 365, and Let’s Talk.

Due to the Pinterest Terms of Use, however, I have decided to join blogger Laura Candler in efforts to make pinning from blogs a bit easier. This means that you have my permission to pin any image from my blog on Pinterest. Also, feel free to follow me on Pinterest and repin any images you find there.

I’ve been racking my brain all week, trying to think of a way to use the idea Jenna posted this week on her blog, Speech Room News. She is using the app Tapikeo to quickly download images and pair them with voice audio, creating a fun, multi-media activity for students.

Without an iPad, I do not have a way to use the Tapikeo app, a wonderful program that makes saving pictures into a program and adding audio a breeze. I did contact the app’s creator, Jean-Eudes Lepelletier, a busy dad of two who designs apps for iTunes in his free time. He very kindly responded with partially good news. While Tapikeo is not currently available on Android devices, his newest upgrade will include an export feature that allows photo grids to be shared with others via HTML. I am hoping that those creative SLPs with iPads out there will be sharing their photo grids very soon!

In the meantime, I did discover a relatively easy way to quickly download PediaStaff’s images and import them into an interactive smartboard program with audio. The process is actually fast and simple, but it does involve a few steps:

Install Nitro PDF (this FREE downloadable program easily converts any file or selection to a PDF file, even from the web. Just choose “Nitro PDF” as your printer when you go to print. By the way, this program is a wonderful tool to convert those Boardmaker files to PDFs for easy sharing.)

Next, go to PediaStaff on Pinterest and scroll down to your Photo Library of choice — they now have many different photo boards, filled with theme-specific images to target a variety of skills.

Once you are in the photo library, simply PRINT the webpage (Don’t forget to change your printer to Nitro PDF!)

NOW comes the fun part! After you have a Pediastaff photo library converted to a PDF, you then just need to select “Extract Images.”

Clicking this powerful, little EXTRACT IMAGES button will instantaneously save each image to your computer!! No need to” right click and save as” on every image on the Pinterest board…just extract and you have each file saved separately in the same folder as your original PDF.

Here is a snapshot of my end result:

Once the images are saved (instantly!) to your computer, you can then create a fun, interactive activity with audio using PowerPoint or an interactive smartboard program (I use ActivInspire, which does not require a smartboard — use this program right on your computer with a mouse!) Below is a snapshot of the activity I created using action verb pictures paired with audio (as Jenna did in her initial example.) Students circled, highlighted and wrote text on this flipchart page, and when they clicked an image the audio was activated. I embedded audio using simple, present progressive verb sentences (e.g, “The boy is yawning.”) as well as past tense verbs (e.g., “Yesterday the boy screamed.”) We also practiced higher level skills with each trial…these images are perfect for incorporating “I wonder” statements like, “I wonder why the boy screamed?” to elicit inferences. I love using “I wonder…” sentences to promote those critical thinking skills along with the lower-level objectives.

So, even though the Tapikeo program is not an option for me right now, I can still very quickly and easily create activities by instantly downloading libraries of images through a PDF conversion and extraction. Perhaps this is an example of collaboration at its finest…Pediastaff, Tapikeo, Speech Room News and LiveSpeakLove all working together to create ideas for wonderful speech-language activities! I’m thankful for the inspiration…hopefully you will feel the same.

Thanks for visiting LiveSpeakLove!

~Lisa

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What a difference a day makes! In addition to a much less stressful day at work, I received a very exciting email informing me of a little news…Live Speak Love is featured in the American Speech-Language-Hearing Association’s latest blog article, The Best Speech-Language Pathologist Blogs from A-Z. Check out the article and the other speech-language blogs who made the list:

ASHASphere

Also, look for Live Speak Love on the Pediastaff and ASHASphere blogs in the upcoming future! I’ve been asked to be a Guest Blogger/Contributor on both of these sites. What fun! Thanks for visiting Live Speak Love and for helping to spread the word.